Dentist
LICENSED DENTIST CONTROLLED SUBSTANCE
31*****14
ACTIVE
N
STANLEY
CARADINE
DDS
STANLEY CARADINE DDS
08/22/1990
08/07/2024
09/30/2027
SHERIDAN
IL
60551
LA SALLE
II III IV V
Y
1999004823
Suspension
02/10/2002
08/09/2003